0 CHASE SIGNATURE CARD AND APPLICATION JPMorgan Chase Bank BRANCH COPY IIIIIIIiiiiirnt Title Information (Accounts with multiple owners are Joint, payable to either owner or the survivor.) 10021 Account # Account Type ACCOUNT Account An, INDIVIDUAL /TIN Date Opened Opened By Deposit Amt PERSONAL IMO Primary Customer ome Ph (000)000-0000 CHASE EXTRA SAVINGS Maiden Name 02/19/2004 PHILLIP WALTERS $0.01 Birth Date This Account Is Not Transferable Please activate Check Coverage for the account listed above. I/we authorize you to Integrate and use as the 'Protecting Account(s)' the account(s) identified above on this application. I/we agree to the terms and conditions as contained in the Deposit Account Agreement and Disclosures. I/we agree that I/we have reviewed the information contained in this Personal Signature Card and Application and find it accurate on this date. In the payment of funds and in the transaction of all other business relative to this account, I/we agree that you are authorized to rely upon the signature(s) written below and on the --reverse-side.-1/we..have_received_and_agree_to_the_terms_and conditions of the Deposit Account Agreement and Disclosures currently in effect and as may be amended fur the type of -a-c-Co• wit and-seWic-es t.v3 ser; - EFTA01481218